Use of the Neuropsychiatric Inventory in Traumatic Brain Injury: A Pilot Investigation
Objective: The goal of this investigation was to pilot the Neuropsychiatric Inventory (NPI) among individuals with traumatic brain injury (TBI) and their caregivers, assessing its screen-metric approach. Design and Participants: Using the NPI, caregivers rated neurobehavioral disturbances in 51 indi...
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| Veröffentlicht in: | Rehabilitation psychology 2006-08, Vol.51 (3), p.232-238 |
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| container_title | Rehabilitation psychology |
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| creator | Kilmer, Ryan P Demakis, George J Hammond, Flora M Grattan, Karen E Cook, James R Kornev, Aleksandr A |
| description | Objective:
The goal of this investigation was to pilot the Neuropsychiatric Inventory (NPI) among individuals with traumatic brain injury (TBI) and their caregivers, assessing its screen-metric approach.
Design and Participants:
Using the NPI, caregivers rated neurobehavioral disturbances in 51 individuals with moderate-to-severe TBI. The NPI was completed 1 or 2 years after the individuals were injured.
Results:
Caregivers reported the highest symptom levels for participants on Irritability/Lability, Apathy, and Agitation/Aggression, and rated greater levels of distress tied to those domains and to Dysphoria. Caregivers endorsing domain screening items endorsed significantly more metric items (vs. screen non-endorsers) within that domain, as would be expected if the screen accurately measured the psychopathology under consideration. In addition, the screen-metric yielded extremely low false-positive rates, although 5 of the 12 domains had elevated false-negative rates.
Conclusions:
Findings provide preliminary support for the accuracy of the NPI's screen-metric in this population and are consistent with prior work detailing common problematic neurobehavioral consequences of TBI. These results lay groundwork for research and clinical use of this measure in populations with TBI. |
| doi_str_mv | 10.1037/0090-5550.51.3.232 |
| format | Article |
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The goal of this investigation was to pilot the Neuropsychiatric Inventory (NPI) among individuals with traumatic brain injury (TBI) and their caregivers, assessing its screen-metric approach.
Design and Participants:
Using the NPI, caregivers rated neurobehavioral disturbances in 51 individuals with moderate-to-severe TBI. The NPI was completed 1 or 2 years after the individuals were injured.
Results:
Caregivers reported the highest symptom levels for participants on Irritability/Lability, Apathy, and Agitation/Aggression, and rated greater levels of distress tied to those domains and to Dysphoria. Caregivers endorsing domain screening items endorsed significantly more metric items (vs. screen non-endorsers) within that domain, as would be expected if the screen accurately measured the psychopathology under consideration. In addition, the screen-metric yielded extremely low false-positive rates, although 5 of the 12 domains had elevated false-negative rates.
Conclusions:
Findings provide preliminary support for the accuracy of the NPI's screen-metric in this population and are consistent with prior work detailing common problematic neurobehavioral consequences of TBI. These results lay groundwork for research and clinical use of this measure in populations with TBI.</description><identifier>ISSN: 0090-5550</identifier><identifier>EISSN: 1939-1544</identifier><identifier>DOI: 10.1037/0090-5550.51.3.232</identifier><language>eng</language><publisher>American Psychological Association</publisher><subject>Brain injured people ; Female ; Human ; Inventories ; Male ; Neurobehavioural functioning ; Neuropsychological Assessment ; Neuropsychological tests ; Screening ; Traumatic Brain Injury</subject><ispartof>Rehabilitation psychology, 2006-08, Vol.51 (3), p.232-238</ispartof><rights>2006 American Psychological Association</rights><rights>2006, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a370t-711d0c8cc4e8044995b355956f7661b8f68bd2a29d1c810ac37ccba7180cb55a3</citedby><cites>FETCH-LOGICAL-a370t-711d0c8cc4e8044995b355956f7661b8f68bd2a29d1c810ac37ccba7180cb55a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,31000</link.rule.ids></links><search><contributor>Elliott, Timothy R</contributor><creatorcontrib>Kilmer, Ryan P</creatorcontrib><creatorcontrib>Demakis, George J</creatorcontrib><creatorcontrib>Hammond, Flora M</creatorcontrib><creatorcontrib>Grattan, Karen E</creatorcontrib><creatorcontrib>Cook, James R</creatorcontrib><creatorcontrib>Kornev, Aleksandr A</creatorcontrib><title>Use of the Neuropsychiatric Inventory in Traumatic Brain Injury: A Pilot Investigation</title><title>Rehabilitation psychology</title><description>Objective:
The goal of this investigation was to pilot the Neuropsychiatric Inventory (NPI) among individuals with traumatic brain injury (TBI) and their caregivers, assessing its screen-metric approach.
Design and Participants:
Using the NPI, caregivers rated neurobehavioral disturbances in 51 individuals with moderate-to-severe TBI. The NPI was completed 1 or 2 years after the individuals were injured.
Results:
Caregivers reported the highest symptom levels for participants on Irritability/Lability, Apathy, and Agitation/Aggression, and rated greater levels of distress tied to those domains and to Dysphoria. Caregivers endorsing domain screening items endorsed significantly more metric items (vs. screen non-endorsers) within that domain, as would be expected if the screen accurately measured the psychopathology under consideration. In addition, the screen-metric yielded extremely low false-positive rates, although 5 of the 12 domains had elevated false-negative rates.
Conclusions:
Findings provide preliminary support for the accuracy of the NPI's screen-metric in this population and are consistent with prior work detailing common problematic neurobehavioral consequences of TBI. These results lay groundwork for research and clinical use of this measure in populations with TBI.</description><subject>Brain injured people</subject><subject>Female</subject><subject>Human</subject><subject>Inventories</subject><subject>Male</subject><subject>Neurobehavioural functioning</subject><subject>Neuropsychological Assessment</subject><subject>Neuropsychological tests</subject><subject>Screening</subject><subject>Traumatic Brain Injury</subject><issn>0090-5550</issn><issn>1939-1544</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNpt0M9LwzAUwPEgCs7pP-CpiHiR1qRJ2vQkbvhjMPSyncNrlrKOrq0vrdD_3pSJqHgKL3xeCF9CLhmNGOXpHaUZDaWUNJIs4lHM4yMyYRnPQiaFOCaTb3BKzpzbUcoEV_GE3K-dDZoi6LY2eLU9Nq0bzLaEDksTLOoPW3cNDkFZByuEfg-dv54h-HlR73oczslJAZWzF1_nlKyfHlfzl3D59ryYPyxD4CntwpSxDTXKGGEVFSLLZM6lzGRSpEnCclUkKt_EEGcbZhSjYHhqTA4pU9TkUgKfkpvDuy027711nd6Xztiqgto2vdMyjbkQgnt49Qfumh5r_zedMC-UVNKj-IAMNs6hLXSL5R5w0IzqMagee-mxl5ZMc-2D-qXbwxK0oMdMgL5GZZ3pEX0njbb9qa__17_ZJ1Urg2U</recordid><startdate>200608</startdate><enddate>200608</enddate><creator>Kilmer, Ryan P</creator><creator>Demakis, George J</creator><creator>Hammond, Flora M</creator><creator>Grattan, Karen E</creator><creator>Cook, James R</creator><creator>Kornev, Aleksandr A</creator><general>American Psychological Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope></search><sort><creationdate>200608</creationdate><title>Use of the Neuropsychiatric Inventory in Traumatic Brain Injury</title><author>Kilmer, Ryan P ; Demakis, George J ; Hammond, Flora M ; Grattan, Karen E ; Cook, James R ; Kornev, Aleksandr A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a370t-711d0c8cc4e8044995b355956f7661b8f68bd2a29d1c810ac37ccba7180cb55a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Brain injured people</topic><topic>Female</topic><topic>Human</topic><topic>Inventories</topic><topic>Male</topic><topic>Neurobehavioural functioning</topic><topic>Neuropsychological Assessment</topic><topic>Neuropsychological tests</topic><topic>Screening</topic><topic>Traumatic Brain Injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kilmer, Ryan P</creatorcontrib><creatorcontrib>Demakis, George J</creatorcontrib><creatorcontrib>Hammond, Flora M</creatorcontrib><creatorcontrib>Grattan, Karen E</creatorcontrib><creatorcontrib>Cook, James R</creatorcontrib><creatorcontrib>Kornev, Aleksandr A</creatorcontrib><collection>CrossRef</collection><collection>Access via APA PsycArticles® (ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Rehabilitation psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kilmer, Ryan P</au><au>Demakis, George J</au><au>Hammond, Flora M</au><au>Grattan, Karen E</au><au>Cook, James R</au><au>Kornev, Aleksandr A</au><au>Elliott, Timothy R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of the Neuropsychiatric Inventory in Traumatic Brain Injury: A Pilot Investigation</atitle><jtitle>Rehabilitation psychology</jtitle><date>2006-08</date><risdate>2006</risdate><volume>51</volume><issue>3</issue><spage>232</spage><epage>238</epage><pages>232-238</pages><issn>0090-5550</issn><eissn>1939-1544</eissn><abstract>Objective:
The goal of this investigation was to pilot the Neuropsychiatric Inventory (NPI) among individuals with traumatic brain injury (TBI) and their caregivers, assessing its screen-metric approach.
Design and Participants:
Using the NPI, caregivers rated neurobehavioral disturbances in 51 individuals with moderate-to-severe TBI. The NPI was completed 1 or 2 years after the individuals were injured.
Results:
Caregivers reported the highest symptom levels for participants on Irritability/Lability, Apathy, and Agitation/Aggression, and rated greater levels of distress tied to those domains and to Dysphoria. Caregivers endorsing domain screening items endorsed significantly more metric items (vs. screen non-endorsers) within that domain, as would be expected if the screen accurately measured the psychopathology under consideration. In addition, the screen-metric yielded extremely low false-positive rates, although 5 of the 12 domains had elevated false-negative rates.
Conclusions:
Findings provide preliminary support for the accuracy of the NPI's screen-metric in this population and are consistent with prior work detailing common problematic neurobehavioral consequences of TBI. These results lay groundwork for research and clinical use of this measure in populations with TBI.</abstract><pub>American Psychological Association</pub><doi>10.1037/0090-5550.51.3.232</doi><tpages>7</tpages></addata></record> |
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| ispartof | Rehabilitation psychology, 2006-08, Vol.51 (3), p.232-238 |
| issn | 0090-5550 1939-1544 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_57234443 |
| source | EBSCOhost APA PsycARTICLES; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Brain injured people Female Human Inventories Male Neurobehavioural functioning Neuropsychological Assessment Neuropsychological tests Screening Traumatic Brain Injury |
| title | Use of the Neuropsychiatric Inventory in Traumatic Brain Injury: A Pilot Investigation |
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